El cuidado y la tecnología en las unidades de cuidados intensivos

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Abstract

Para comprender el contexto actual del cuidado y el arte de cuidar en un mundo tecnológico como las Unidades de Cuidados Intensivos (UCI), es necesario revisar y reflexionar sobre diferentes momentos históricos, la comprensión del desarrollo cultural y tecnológico relacionado con los nuevos conceptos sobre el cuidado y la tecnología dentro de las UCI. Con el avance tecnológico y de las maneras de cuidar, creemos que la atención recibida en las UCI sufrirá cambios importantes en las próximas décadas, afectando la gestión de la atención y la salud. Es necesario que la enfermería desarrolle tecnologías leves/duras, para mantener la calidad de la atención, la seguridad del paciente y optimizar la atención. Por lo tanto, debemos reconocer nuestro compromiso como profesionales y hacer que la tecnología sea un medio y no un fin, porque la finalidad de la atención es satisfacer las necesidades de los seres humanos.

Translated abstract

To understand the current context of care and the art of caring in a technological world as the Intensive Care Units (ICU), we need to review and reflect on the different historical moments, understand the cultural and technological developments that relate to the new concepts on caring and technology within ICUs. With technological advancement and the ways to care, we believe that the care provided in ICUs should undergo major changes in the coming decades, impacting the management and nursing care and health. It is necessary that Nursing develops hard light and light technologies, so that we may keep the quality on caring, the security of the patient and optimize caring. Thus, we must recognize our commitment as professionals and make technology as a mean and not an end, for the purpose of care is to meet the needs of human beings.

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Most cited references 38

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Physical examination in the care of medical inpatients: an observational study.

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Little is known about the clinical importance of skilled physical examination in the care of patients in hospital. Hospital records of a systematic consecutive sample of patients admitted to a general medical inpatient service were reviewed retrospectively to determine whether physical findings by the attending physician led to important changes in clinical management. Patients with pivotal physical findings were defined by an outcomes adjudication panel as those whose diagnosis and treatment in hospital changed substantially as a result of the attending physician's physical examination. Pivotal findings were classed as validated if the resulting treatment change involved the active collaboration of a consulting specialist. Findings were classed as discoverable if subsequent diagnostic testing (other than physical examination) would probably have led to the correct diagnosis. Class 1 findings were those deemed validated but not discoverable. Among 100 patients, 26 had pivotal physical findings (26%; 95% CI 18-36). 15 of these (58%; 95% CI 37-77) were validated (13 with urgent surgical or other invasive procedures) and 14 were discoverable (54%; 95% CI 33-73). Seven patients had class 1 findings (7%; 95% CI 3-14). Physical examination can have a substantial effect on the care of medical inpatients. If replicated in other settings, these findings might have important implications for medical educators and quality improvement initiatives.

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Is Open Access

Cuidado e tecnologia: aproximações através do Modelo de Cuidado

Patrícia Kuerten Rocha, Marta Lenise do Prado, Marilene Lowen Wal … (2008)

Refletir o cuidado na perspectiva da tecnologia nos leva a repensar a inerente capacidade do ser humano em buscar inovações. Historicamente a relação entre o cuidado de enfermagem e a tecnologia é permeada pela busca do conhecimento científico. Assim, a Enfermagem estruturou seu corpo de conhecimento, segundo seu grau de abstração, tendo como um dos seus componentes o modelo de cuidado. Utilizamos principalmente Mehry (2002) como referencial para associarmos a aproximação da tecnologia e do cuidado no modelo de cuidado. Pois, a aplicação e a implementação deste, nos reporta a uma tecnologia leve-dura e leve, podendo produzir novas tecnologias, sejam estas leves, leve-duras ou duras.

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Prospects for clinical application of electronic-nose technology to early detection of Mycobacterium tuberculosis in culture and sputum.

Arend H J Kolk, Conrad Bessant, A Woodman … (2006)

Ziehl-Neelsen (ZN) staining for the diagnosis of tuberculosis (TB) is time-consuming and operator dependent and lacks sensitivity. A new method is urgently needed. We investigated the potential of an electronic nose (EN) (gas sensor array) comprising 14 conducting polymers to detect different Mycobacterium spp. and Pseudomonas aeruginosa in the headspaces of cultures, spiked sputa, and sputum samples from 330 culture-proven and human immunodeficiency virus-tested TB and non-TB patients. The data were analyzed using principal-component analysis, discriminant function analysis, and artificial neural networks. The EN differentiated between different Mycobacterium spp. and between mycobacteria and other lung pathogens both in culture and in spiked sputum samples. The detection limit in culture and spiked sputa was found to be 1 x 10(4) mycobacteria ml(-1). After training of the neural network with 196 sputum samples, 134 samples (55 M. tuberculosis culture-positive samples and 79 culture-negative samples) were used to challenge the model. The EN correctly predicted 89% of culture-positive patients; the six false negatives were the four ZN-negative and two ZN-positive patients. The specificity and sensitivity of the described method were 91% and 89%, respectively, compared to culture. At present, the reasons for the false negatives and false positives are unknown, but they could well be due to the nonoptimized system used here. This study has shown the ability of an electronic nose to detect M. tuberculosis in clinical specimens and opens the way to making this method a rapid and automated system for the early diagnosis of respiratory infections.

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Author and article information

Contributors

Patrícia Kuerten Rocha: Role: ND

Marta Lenise do Prado: Role: ND

Patrícia Fernanda de Almeida Cabral: Role: ND

Ana Izabel Jatobá de Souza: Role: ND

Jane Cristina Anders: Role: ND

Journal

Journal ID (publisher-id): index

Title: Index de Enfermería

Abbreviated Title: Index Enferm

Publisher: Fundación Index (Granada, Granada, Spain )

ISSN (Print): 1132-1296

ISSN (Electronic): 1699-5988

Publication date (Print and electronic): September 2013

Volume: 22

Issue: 3

Pages: 156-160

Affiliations

[01] orgnameUniversidad Federal de Santa Catarina (UFSC) orgdiv1Departamento de Enfermería orgdiv2Programa de Postgrado

[02] Florianópolis Santa Catarina orgnameUniversidad Federal de Santa Catarina (UFSC) orgdiv1Departamento de Enfermería Brasil

Article

Publisher ID: S1132-12962013000200009

DOI: 10.4321/S1132-12962013000200009

SO-VID: c5599f77-40ea-41f9-bccd-73f998fed36f

License:

This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 International License.

History

Date received : 11 December 2012

Date accepted : 13 January 2013

Page count

Figures: 0, Tables: 0, Equations: 0, References: 25, Pages: 5

Product

SciELO Spain

Keywords: Atención de Enfermería,Enfermería,Tecnología Biomédica,Unidades de Cuidados Intensivos,Nursing Care,Nursing,Biomedical Technology,Intensive Care Unit

Data availability:

Keywords: Atención de Enfermería, Enfermería, Tecnología Biomédica, Unidades de Cuidados Intensivos, Nursing Care, Nursing, Biomedical Technology, Intensive Care Unit

El cuidado y la tecnología en las unidades de cuidados intensivos Translated title: Technology and caring in intensive care units

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